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A patient with quadriplegia resulting from a spinal cord injury says to the rehabilitation nurse, 'I'm sick of this therapy! What is an occupational therapist going to do for me? Can she give me an 'occupation'?' What response by the nurse would be the most helpful?
- A. No, but the occupational therapist can show you how to enjoy some recreational activities.
- B. Yes, in a way. The occupational therapist provides training that strengthens muscles you can still control.
- C. Maybe. The occupational therapist recommends adaptive equipment that will make you more independent.
- D. No, the voc-rehab counselor helps with employment. The occupational therapist helps train you for improved communication skills.
Correct Answer: C
Rationale: The occupational therapist recommends adaptive equipment or helps in modifying skills to enhance independence.
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When assessing a patient with a traumatic brain injury, the nurse notes that his memory is improving. The nurse should explain to the family that what other symptom may occur with memory improvement?
- A. Decrease in learning ability
- B. Depression
- C. Anger
- D. Increased concentration
Correct Answer: B
Rationale: Generally, the more memory improves in a patient with a brain injury, the more the patient becomes depressed.
When speaking to a group of high school students, the rehabilitation nurse states that spinal cord injuries resulting in paralysis occur mainly as the result of traumatic accidents in which group of individuals?
- A. Middle-aged men
- B. Older adult females
- C. Young males
- D. Young females
Correct Answer: C
Rationale: Individuals paralyzed by spinal cord injuries are primarily young males.
The nurse explains that the main roles of the gerontological rehabilitation nurse are to provide rehabilitative care and what other role?
- A. Provide restoration.
- B. Teach prevention.
- C. Teach adaptive skills.
- D. Provide positive reinforcement.
Correct Answer: B
Rationale: Teaching prevention is the dual role of the geriatric rehabilitation nurse. Restoration, adaptive skills, and positive reinforcements are all part of providing rehabilitative care.
The nurse used a diagnosis of impaired cognition for a 40-year-old patient with a brain injury. Which assessment data would support the diagnosis?
- A. Frequently becomes violent.
- B. Becomes easily fatigued.
- C. Is depressed.
- D. Cannot add three numbers in his head.
Correct Answer: D
Rationale: Impaired cognition includes problems in thinking, impaired concentration, and impaired information processing.
The spinal cord injury patient has paralysis of all extremities and bowel and bladder disturbance. The nurse recognizes the injury as most likely occurring at what vertebral level?
- A. C1 to C2
- B. C3 to C4
- C. C2 to C7
- D. C4 to C7
Correct Answer: C
Rationale: The vertebral level of injury for a cervical cord is C2 to C7 if the patient has paralysis of all extremities and trunk, and has lost control of bowel and bladder function.